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1295454544
SHANE MICHAEL DUTY
MERIDIAN, ID
NPI
1295454544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-5998)
Enumeration Date
2022-08-22
Last Update Date
2022-08-22
Business Address
SHANE MICHAEL DUTY LPC
1225 W BACALL ST
MERIDIAN, ID 83646-6388
Phone number: 208-407-8014
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Mailing Address
SHANE MICHAEL DUTY LPC
1225 W BACALL ST
MERIDIAN, ID 83646-6388
Phone number: 208-407-8014
Copy
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